摘要
目的探讨不同病理类型乳腺叶状肿瘤声像图特征。方法回顾性分析经病理证实的132例乳腺叶状肿瘤患者共136个病灶的声像图资料,比较良性与交界性和恶性叶状肿瘤间超声特征的差异。结果 136个叶状肿瘤中,良性46个(33.8%),交界性62个(45.6%),恶性28个(20.6%)。叶状肿瘤多表现为肿块样占位,形态椭圆形或分叶状(77.9%),边界清晰(70.6%),后方回声增强(72.1%),部分内部见无回声区(26.5%)。发病年龄、形状、内部回声、囊性结构、后方回声在良性与交界性和恶性组间差异无统计学意义(均P>0.05)。相对于良性肿瘤,交界性和恶性肿瘤中较大病灶、边界不清病灶、血流Ⅱ~Ⅲ级病灶明显增多,差异有统计学意义(P=0.002,P=0.028,P<0.001)。结论叶状肿瘤声像图有一定的特征性表现,肿瘤大小、边界和血流情况对判断肿瘤分型有一定的价值。
Objective To investigate the ultrasonographic features of different pathological types of phyllodes tumors (PT) of breast. Methods The clinical manifestations and sonographic findings were analyzed retrospectively in 132 patients with 136 different subtype PTs. Ultrasonographic features of benign, borderline and malignant types were compared. Results All the lesions were classified into benign (46/136, 33.8%), borderline (62/136, 45.6%) and malignant (28/136, 20.6%). On sonography, most tumors were shown as oval or lobulated (77.9%), well-defined margins (70.6%), and posterior echo enhancement (72.1%). Cystic areas were observed in 36 lesions (26.5%). No significant difference was observed in age, lesion shape, echo patterns, posterior acoustic features or cystic area (P>0.05). Large size, indistinct margins and grade Ⅱ-Ⅲ vascularity were more frequent in borderline and malignant tumors (P=0.002, P=0.028, P<0.001, respectively). Conclusions Phyllodes tumors of breast have certain characteristics on ultrasonography.Large size, unclear margins and rich blood flow signals may indicate malignancy.
作者
李娜
苗爱雨
陈雅玲
周世崇
王宇
陈敏
常才
Li Na;Miao Aiyu;Chen Yaling;Zhou Shichong;Wang Yu;Chen Min;Chang Cai(Department of Ultrasonography, Fudan University Shanghai Cancer Center & Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China)
出处
《中华超声影像学杂志》
CSCD
北大核心
2019年第5期425-428,共4页
Chinese Journal of Ultrasonography
基金
国家自然科学基金国家重大科研仪器研制项目(81627804).
关键词
超声检查
乳腺肿瘤
叶状肿瘤
Ultrasonography
Breast neoplasms
Phyllodes tumor
